Pelvic Hematoma

Pelvic Haematoma

We present a case of an ulcerated perforation of the bladder caused by a large pelvic hematoma without any direct injury to the bladder in a 71-year-old woman.[ncbi.nlm.nih.gov]

Spontaneous hematomas are rare and can present with acute or chronic symptoms. Our patient presented with deep vein thrombosis of the lower extremity associated with a spontaneous pelvic hematoma.[ncbi.nlm.nih.gov]

Macroscopically, a mass of 6 cm was present impinging on the pelvi-caliceal system. Microscopically, the lesion was composed by hemorragic material with feature of an hematoma.[ncbi.nlm.nih.gov]

A case of a man with a massive pelvic hematoma from blunt trauma without bony fracture is presented. The pressure of the hematoma on the iliac vein prevented fluid resuscitation using this route.[ncbi.nlm.nih.gov]

We present 20-year-old male presenting with acute pain in lumbar and right fossa with tenderness and guarding, this case was clinically mimicking general surgical emergency.[urologyannals.com]

Initial evaluation with a chest x-ray revealed bilateral pleuraleffusion and basal consolidation in the right lung. She developed respiratory, renal and heart failure, requiring management in an intensive care unit.[bjuinternational.com]

One of the major complications of pelvic surgery is symptomatic pelvic hematoma, which can present with pain, fever, and foulsmellingdischarge.[clinicaltrials.gov]

Pelvic hematoma may be associated with pain, fever, and foul-smellingdischarge. Most of what is published so far on symptomatic postoperative pelvic hematoma is limited to vaginal or abdominal hysterectomy.[omicsonline.org]

Conclusion Keeping a high suspicion of abdominal haemorrhage is important if a patient on long term warfarin therapy presented with abdominalpain.[omicsonline.org]

Abstract In a woman patient aged 80 years under anticoagulation with dicumarol (Marcumar), abdominalpain suddenly occurred which was located on the right side as well as signs of acute bleeding.[ncbi.nlm.nih.gov]

He subsequently developed hematuria and complained of lower abdominalpain. On physical exam, he was found to be pale, with diffuse abdominal tenderness, guarding and tachycardia.[wjnu.org]

A 79-year-old woman who was taking warfarin and enoxaparin because of deep venous thrombosis reported abdominalpain after coughing. On physical examination, a mass was felt in the left side of the abdomen.[nejm.org]

Two weeks following cardiac catheterization at time of myocardial infarction a patient was noted to have a complex pelvicmass on ultrasound and serum CA-125 of 53 units per milliliter.[ncbi.nlm.nih.gov]

From our experience of this case, we suggest that if a pelvicmass remains as a highly suspicious haematoma through the complete diagnostic imaging and procedures, it should be managed with careful follow-up to avoid unnecessary nephrectomy.[academic.oup.com]

On her admission, the patient had mild fever (38 C), with slight mucocutaneous pallor, and a painless pelvicmass. This mass was reaching halfway to the umbilicus, but its size was not well defined. Her hemoglobin level was 8 g/dl.[omicsonline.org]

While ultrasound (US) might properly demonstrate the presence of an anterior pelvicmass, this modality may not provide a definitive diagnosis.[ispub.com]

Pelvic hematoma should be strongly considered in the patient with lower abdominal, hip, or pelvicpain after blunt injury from parachute landing fall even in the absence of associated fracture.[ncbi.nlm.nih.gov]

All cases occurred after transvaginal hysterectomy, 25 (90%) presented with fever, 20 (71%) with pelvicpain and 5 (20%) with urinary retention. All hematomas were diagnosed by ultrasound.[ncbi.nlm.nih.gov]

Mycoplasmahominis was isolated in pure culture from six of seven specimens taken from a retroperitoneal hematoma over a one-week period, and mycoplasmacidal antibodies were present in high titer in the convalescent-phase serum.[ncbi.nlm.nih.gov]

Initial evaluation with a chest x-ray revealed bilateral pleuraleffusion and basal consolidation in the right lung. She developed respiratory, renal and heart failure, requiring management in an intensive care unit.[bjuinternational.com]

The transobturator tape (TOS) procedure is rapidly becoming a preferred treatment for female stress urinary incontinence due to excellent outcomes and minimal morbidity. Though rare, significant bleeding complications can occur.[ncbi.nlm.nih.gov]

Investigation and treatment of this diagnostic problem are uncertain. We add 6 patients with this entity to the 15 previously published cases. All 6 were clinically suspected of having cancer, and 5 underwent nephrectomy.[ncbi.nlm.nih.gov]

The patient was given antibiotic treatment for two weeks with subsequent good clinical improvement. Four months after the treatment, the hematoma size decreased (59.5%) and the patient was set for a continuous follow up (Figures 2 and 3).[omicsonline.org]

The clinical findings subsided following initiation of treatment with recombinant activated FVII (rFVIIa). The treatment included 90 mcg kg 1 every 3 h for 3 days.[spandidos-publications.com]

Warfarin treatment was reinitiated as small dose with adjustment of the dose during hospital stay.[omicsonline.org]

A person would have to come in immediately to be treated,” said Samadi, while noting that he has not treated Chavez and, therefore, could not be sure of the leader's prognosis.[foxnews.com]

The management is by laparotomy and control of hemorrhage from the bleeding point, and when the origin of the bleeding is not found, the prognosis is poor. 5 Our case was treated conservatively after excluding obvious cause by CT scan and angiography.[annsaudimed.net]

What Is the Prognosis for Hematoma? Blood vessels are routinely injured and may leak blood causing hematomas or blood clots. Depending upon their size and location, hematomas may be insignificant or may cause life-threatening damage.[emedicinehealth.com]

The location of a hematoma plays a role in its prognosis . From Reviewed by: Tova Alladice, M.D. American Board of Physical Medicine & Rehabilitation[rxlist.com]

Iliopsoas haematoma leads to compression of the femoral nerve due to the developing lesion in the muscle; there is generally no traumatic etiology and the first occurrence is sudden, with intense lower abdominal or groin pain ( 9 ).[spandidos-publications.com]

Non-operative management is recommended A 67-year-old woman hospitalized for acute pulmonary failure of unknown etiology developed a one-day history of increasing lower abdominal pain and distension associated with new-onset tachycardia and hypotension[ispub.com]

Epidemiology The overall mortality rate for patients with pelvic ring fractures is approximately 6%. 2 This rate increases to 18-40% in patients with uncontrolled pelvic-related hemorrhage.[ahcmedia.com]

[…] discharge, diarrhea, and mild abdominal distension, and if large, even paralytic ileus.Since most studies describe fever as a common finding in women with pelvic hematomas [ 4 ], it seems that infection and/or inflammation play an important role in the pathophysiology[omicsonline.org]

The pressure of the hematoma on the iliac vein prevented fluid resuscitation using this route. A pelvic hematoma should be suspected in patients with iliac vein obstruction after blunt pelvic trauma even in the absence of fractures.[ncbi.nlm.nih.gov]

Early recognition, prompt diverting colostomy, and aggressive wound management are necessary after open pelvic fracture to prevent local and systemic infectious sequelae of PHN.[ncbi.nlm.nih.gov]

Awareness of this rare condition may prevent unnecessary surgical explorations in doubtful situations.[ncbi.nlm.nih.gov]

It is indicated for the prevention of systemic embolism in patients with prosthetic heart valves or atrial fibrillation and for the primary and secondary prevention of venous thromboembolism [ 2 , 9 ].[omicsonline.org]

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